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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Differentiating Central vs ... Peripheral Vertigo ... Nystagmus Test ... #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Central from Peripheral ... Vertigo • Head ... following a finger) • Test ... #Vertigo #diagnosis ... #neurology #bppv
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior ... #Testing #HIT #HINTS
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... (posterior canal ... #Algorithm #differential ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... vascular causes, such as ... with posterior ... #diagnosis #findings ... symptoms #comparison #neurology
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... the dizziness as ... A diagnostic algorithm ... of dizziness or vertigo
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... if the cause is peripheral ... #Diagnosis #AVS ... #Posterior #CVA